新疆南北疆乡村卫生服务一体化管理实施现状分析

胡晓媛; 姚华; 耿直; 欧阳静; 赵翠芳

引用本文：胡晓媛,姚华,耿直,等.新疆南北疆乡村卫生服务一体化管理实施现状分析[J].中国卫生政策研究,2011,4(11):42-46

新疆南北疆乡村卫生服务一体化管理实施现状分析

投稿时间：2011-09-20 修订日期：2011-11-19 PDF全文浏览 HTML全文浏览

1.新疆医科大学公共卫生学院;2.新疆医科大学第一附属医院;3.新疆医科大学;4.新疆医科大学人文社科部;5.新疆医科大学人事处

摘要:目的：了解乡村卫生服务一体化管理在新疆的覆盖情况及存在问题，为构建新疆乡村卫生服务一体化管理的适宜模式提供政策建议。方法：采用问卷调查的方法，对新疆南、北疆16个样本县进行调查，对比分析南、北疆行政一体化、业务一体化、财务一体化、药械一体化、绩效一体化管理的实施情况。结论：行政一体化管理流于形式，业务一体化管理仍需加强，财务一体化管理紧密度低，药械一体化管理参差不齐，绩效一体化管理有待规范。建议：每所村卫生室至少配备3名村医，实行专业技术人员轮岗制度，村卫生室财务每周上报乡镇卫生院，根据农牧民实际需求选择药品，乡镇卫生院对村卫生室进行经常性监督与考核。

关键词:卫生服务一体化管理实施现状

基金项目:美国中华医学基金会（CMB）国际合作项目（10 030）

The implementation analysis of integration of township village health services in north and south of Xinjiang

Abstract:Objective: To understand the service coverage situation and the existing problems of the integration of township village health services in Xinjiang and provide appropriate policy recommendations. Methods: To use the method of questionnaire to survey 16 sample counties and to conduct a comparative analysis in terms of the implementing integration of “administrative integrated management, business integrated management, financial integrated management, medical integrated management, performance integrated management” in both north and south of Xinjiang. Conclusions: The study finds that the administrative integrated management does not work; business integrated management need to be further strengthened; the intensive level of financial integrated management is low; both the medicine and medical equipment integrated management is unevenness; and performance evaluation integrated management need to be standardized. Recommendations: Each village clinic should be allocated with at least 3 doctors. The professionals should be arranged the work shift system. In addition, a financial report from a clinic should be weekly reported to the township hospitals. The medicine provision should be provided by the demand of rural residents. Further, a regular performance evaluation to a clinic organized by a township hospital should be regularly implemented.

Key words:Health service Integrated management Implementation situation

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